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National Burden of CKD Is High—and Rising

Especially in Younger Adults, Trends Are “Moving in the Wrong Direction”

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Measures of the burden of chronic kidney disease (CKD) have risen dramatically in the 21st century—including more than 50% increases in rates of premature death and disability-adjusted life-years due to CKD. Those are among the alarming findings of a new analysis of changes in the health impact of CKD, published in late 2018 in JAMA Network Open ( 1).

The rising burden of CKD has occurred at a time when the United States has seen declining health burdens overall and from noncommunicable diseases in particular, according to the analysis of national and state-level data.

“Clearly, there needs to

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